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Louisiana rates for HCPCS 36904

Perq Thrmbc/Nfs Dialysis Circuit Img Dx Angrph

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.00 / $2,353.83 / $4,392.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.77 / $1,579.40 / $2,567.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,908.83 / $8,294.04 / $12,220.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.38 / $665.90 / $3,025.67
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,673.06 / $4,673.06 / $4,673.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.48 / $974.81 / $2,831.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $5,780.00 / $12,137.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,481.31 / $2,397.78 / $3,668.86